{ "schema_version": "qanun-law-text/1", "id": "punjab-code-0bc3462f8e0e45a5", "title": "PUNJAB SPECIALIZED MEDICAL INSTITUTIONS ACT 2025", "source_collection": "Punjab", "content_kind": "stored_law_text", "content_extent": null, "source_url": "https://punjabcode.punjab.gov.pk/en/show_article/VmZQZ1RqV2RXMA--", "version": null, "source_snapshot": "2026-08-06T17:00:50Z", "legal_status": "not independently verified", "text_quality": "Complete stored UTF-8 TXT file recovered byte-for-byte from owned Drive. Source transcription retained verbatim; legal completeness, OCR accuracy and current consolidation unverified.", "text_sha256": "5fef183029bddf6af3f2ddfb3d6cf619c9eac858c926e066baab57d5865ec8d0", "source_sha256": "5fef183029bddf6af3f2ddfb3d6cf619c9eac858c926e066baab57d5865ec8d0", "text_version_id": "law:punjab-code-0bc3462f8e0e45a5:sha256:5fef183029bddf6af3f2ddfb3d6cf619c9eac858c926e066baab57d5865ec8d0", "quality_flags": [], "encoding": "UTF-8", "text": "PUNJAB SPECIALIZED MEDICAL INSTITUTIONS ACT 2025 \r\n(LVI of 2025) \r\nCONTENTS \r\n1. Short title, extent, application and commencement \r\n2. Definitions \r\n3. Specialized Medical Institution \r\n4. Objectives of the Specialized Medical Institution \r\n5. Administration of the affairs of the Specialized Medical Institution \r\n6. The Board \r\n7. Conduct of business of the Board \r\n8. Functions and powers of the Board \r\n9. Search and Nomination Committee \r\n10. Affiliation of Specialized Medical Institutions \r\n11. Management Committee \r\n12. Dean \r\n13. Hospital Director \r\n14. Functions of the Hospital Director \r\n15. Medical Director \r\n16. Functions of Medical Director \r\n17. Nursing Director \r\n18. Finance Director \r\n19. Employees of the Specialized Medical Institution \r\n20. Special Selection Board \r\n21. Retention of fee \r\n22. Duties of healthcare service providers \r\n23. Fund \r\n24. Budget, audit and accounts \r\n \r\n \r\n25. Power to make rules \r\n26. Power to frame regulations \r\n27. Removal of Difficulties \r\nTEXT \r\n1\r\nPUNJAB SPECIALIZED MEDICAL INSTITUTIONS ACT 2025 \r\n(LVI of 2025) \r\n [25 June 2025] \r\nAn \r\nAct \r\nto improve medical education, responsiveness and quality of clinical care for patients \r\nin an effective, efficient and accountable manner. \r\nIt is necessary to improve medical education, responsiveness and quality of clinical \r\ncare for patients and enhance healt hcare services in Specialized Medical Institutions \r\nin an effective, efficient, responsive and transparent manner, and for the matters \r\nconnected therewith and ancillary thereto. \r\nBe it enacted by Provincial Assembly of the Punjab as follows: \r\n1. Short title, extent, application and commencement. - (1) This Act may be \r\ncited as the Punjab Specialized Medical Institutions Act 2025. \r\n(2) It extends to whole of Punjab. \r\n(3) It shall apply to such Specialized Medical Institution as notified under \r\nsection 3 of the Act. \r\n(4) It shall come into force at once. \r\n2. Definitions.- In the Act: \r\n(a) “Act” means the Punjab Specialized Medical Institutions Act 2025; \r\n(b) “basic science faculty ” means a medical faculty not involved in patient \r\ncare; \r\n(c) “Board” means the Board of Governors constituted under section 6 of \r\nthe Act; \r\n(d) “Chairperson” means the Chairperson of the Board; \r\n(e) “clinical faculty ” means a medical faculty involved in clinical care of \r\npatients, whether diagnostic or therapeutic; \r\n(f) “consultant” means and includes a person qualified to provide the \r\nhighest level of medical and healthcare services and recruited or \r\nappointed as such; \r\n(g) “Dean” means the academic head of a Specialized Medical Institution; \r\n(h) “employee” means an employee of a Specialized Medical Institution \r\nappointed under the Act or a civil servant on deputation to a \r\nSpecialized Medical Institution; \r\n \r\n1This Act was passed by Provincial Assembly of the Punjab on 16 June 2025; and was assented to by Governor of the Punjab \r\non 25 June 2025; and was published in the Punjab Gazette (Extraordinary), dated: 25 June 2025, pp. 5239-5247. \r\n \r\n \r\n(i) “Government” means Government of the Punjab; \r\n(j) “healthcare service ” means preventive, curative, promotive, \r\nrehabilitative h ealth service and includes diagnostic, support service, \r\nlaboratory, accident and emergency, pharmacy and paramedic \r\nsupport; \r\n(k) “medical faculty ” means the basic science faculty and clinical faculty \r\nand includes an Assistant Professor and above as well as Dean of a \r\nCollege, involved in teaching, training or patient care; \r\n(I) “Member” means a Member of the Board; \r\n(m) “prescribed” means prescribed by the rules or regulations made or \r\nframed under the Act; \r\n(n) “regulations” means the regulations framed under the Act; \r\n(o) “rules” means the rules made under the Act; \r\n(p) “Search and Nomination Committee ” means the Search and \r\nNomination Committee constituted under section 9 of the Act; and \r\n(q) “Specialized Medical Institution ” means a Specialized Medical \r\nInstitution as notified under section 3 of the Act. \r\n3. Specialized Medical Institution.- (1) The Government may, by a notification \r\nin the official Gazette, notify a medical college, a dental college or any other health \r\nrelated teaching institution or an affiliated teaching hospital, wholly or partially funded \r\nby the Government, as a Specialized Medical Institution for the purposes of the Act. \r\n(2) A Specialized Medical Institution, notified under sub -section (1), shall \r\nbe a body corporate having perpetual succession and a common seal with power to \r\nacquire, hold and dispose of movable property and may by its name sue or be sued: \r\n(3) Every Specialized Medical Institution may consist of a college or a \r\nteaching institution or both and such number of hospitals as may be notified by the \r\nGovernment. \r\n4. Objectives of the Specialized Medical Institution. - The objectives of the \r\nSpecialized Medical Institutions shall be to: \r\n(a) undertake all functions required for providing health facilities to the \r\npeople; \r\n(b) provide medical education, training and research; \r\n(c) provide health facilities and services to the people; and \r\n(d) perform such other ancillary functions as may be assigned to it b y the \r\nGovernment. \r\n5. Administration of the affairs of the Specialized Medical Institution. - (1) \r\nThe general administration of the Specialized Medical Institution and its affairs shall \r\nvest in the Board. \r\n(2) The Board shall transact and dispose of its business in such manner as \r\nmay be prescribed. \r\n \r\n \r\n(3) If, for any reason, the Board becomes dysfunctional, the Government \r\nshall constitute an administrative committee to run the affairs of the Specialized \r\nMedical Institution for a period of three months. \r\n6. The Board.- (1) The Board of Governors shall comprise as under: \r\n(a) Secretary to the Government, Specialized \r\nHealthcare and Medical Education \r\nDepartment or his representative not below \r\nthe rank of Additional Secretary. \r\nMember \r\n(b) Secretary to the Government, Finance \r\nDepartment or his representative not below \r\nthe rank of Additional Secretary. \r\nMember \r\n(c) Secretary to the Government, Planning and \r\nDevelopment Board. \r\nMember \r\n(d) Secretary to the Government, Law and \r\nParliamentary Affairs Department or his \r\nrepresentative not below the rank of \r\nAdditional Secretary. \r\nMember \r\n(e) Dean. Member \r\n(f) five persons of eminence from private sector \r\nincluding at least one female Member from \r\nthe civil society. \r\nMembers \r\n(g) Hospital Director Member/ Secretary \r\n(2) The Government shall appoint the Members at clause (f) of sub-section \r\n(1) for a period of three years, on the recommendation of the Search and Nomination \r\nCommittee, on such terms and conditions as may be prescribed by the rules but \r\nsuch Members shall serve during the pleasure of the Government. \r\n(3) The Members at clause (f) of sub -section (1) may resign from their \r\noffice before the expiry of tenure by submitting their written resignation to the \r\nGovernment through the Board. \r\n(4) The Members at clause (f) of sub -section (1) may include health \r\nspecialist, management financial experts and a person of eminence in medical \r\neducation. \r\n(5) The Government may nominate the Chairperson from amongst the \r\nMembers at clause (f) of sub-section (1). \r\n(6) In addition to the powers and functions of the Chairperson provided in \r\nthe Act, he shall exercise such others powers and perform such other functions, not \r\ninconsistent with the provisions of the Act, as may be prescribed through rules. \r\n(7) The Board shall have overall superintendence and control over the \r\nfunctioning and administration of a Specialized Medical Institution. \r\n \r\n \r\n(8) The Board may co -opt an expert for its assistance in the meeting for a \r\nspecific purpose but such co-opted expert shall not have a right to vote. \r\n7. Conduct of business of the Board. - (1) The Board shall meet at least six \r\ntimes in a financial year. \r\n(2) The Chairperson and in case of his absence, a Member nominated by \r\nthe Chairperson and if so not possible, the Member so elected by the Members \r\npresent, preside over the meetings of the Board. \r\n(3) One-half of the Members, including at least two Members at clauses \r\n(a) to (d) of sub -section (1) of section 6, shall constitute the quorum for a meeting of \r\nthe Board. \r\n(4) All decisions of the Board shall be tak en by simple majority of the \r\nMembers present and voting, and, in case of tie, the person presiding over the \r\nmeeting shall have the casting vote. \r\n(5) No act or proceedings of the Board shall be invalid, merely on the \r\nground of existence of any vacancy in the Board. \r\n(6) The Member count shall be determined by actual Members being \r\npresent and proxy vote shall not count. \r\n(7) The Board may convene its meeting on the request of the Chairperson \r\nor of at least one -third of the Members for consideration of any impor tant or urgent \r\nmatter. \r\n(8) Subject to the provisions of the Act and rules made thereunder, the \r\nBoard may constitute committees to perform such functions as may be prescribed. \r\n(9) The Secretary to the Board shall: \r\n(a) perform all secretarial functions of th e Board at the direction of \r\nthe Chairperson; \r\n(b) convene meetings of the Board; \r\n(c) record minutes of the meetings of the Board; \r\n(d) communicate with all Members; and \r\n(e) perform any other function as may be assigned to him by the \r\nBoard. \r\n8. Functions and powers of the Board. - (1) The Board shall, subject to the \r\nprovisions of the Act, rules and regulations made or framed thereunder, exercise \r\ncomplete administrative, financial and academic powers in respect of the Specialized \r\nMedical Institution as may be necessary for its proper and efficient functioning. \r\n(2) Without prejudice to the generality of the foregoing provision, the Board \r\nshall: \r\n(a) lay down policy for the administration of the property, funds, \r\ninvestment and resources of the Specialized Medical Institution \r\nincluding approval of purchase or acquisition of immoveable \r\nproperty and borrow or raise money for the purpose of the \r\nSpecialized Medical Institution; \r\n \r\n \r\n(b) approve annual plan of work, annual and revised budgets, \r\nannual report and annual statement of accounts; \r\n(c) supervise and control over the Specialized Medical Institution; \r\n(d) approve the appointment of professionals, Deans, teaching staff \r\nof the Specialized Medical Institution or a committee; \r\n(e) examine annual research program, annual reports and audited \r\nstatements of accounts of the Specialized Medical Institution; \r\n(f) create, suspe nd or abolish such posts of medical, nursing, \r\nadministrative, para-medical, teaching and non -teaching staff of \r\nthe Specialized Medical Institution as may be necessary; \r\n(g) determine terms and conditions of the teaching and non -\r\nteaching staff of the Specialized Medical Institution; \r\n(h) consider and approve annual and revised budget estimates and \r\nto re -appropriate funds from one major head of expenditure to \r\nanother and to appoint internal and third party auditors; and \r\n(i) cause proper books of accounts to be kept for all sums of \r\nmoney received and expended by the Specialized Medical \r\nInstitution and for asset and liabilities of the Specialized Medical \r\nInstitution. \r\n(3) The Board may, subject to such conditions as it may impose, delegate \r\nany of its functions to t he Chairperson or a committee comprising of Members of the \r\nBoard. \r\n9. Search and Nomination Committee. - (1) There shall be the Search and \r\nNomination Committee consisting of the following: \r\n(a) Minister for Specialized Healthcare and \r\nMedical Education. \r\nChairperson \r\n(b) Additional Chief Secretary, Punjab. Vice Chairperson \r\n(c) Secretary to the Government, Specialized \r\nHealthcare and Medical Education \r\nDepartment. \r\nMember \r\n(d) a retired senior person from medical \r\nprofession, to be nominated by the Chief \r\nMinister. \r\nMember \r\n(e) two representatives of civil society, to be \r\nnominated by the Chief Minister. \r\nMembers \r\n(2) The Chairperson of the Search and Nomination Committee shall \r\npreside over the meetings of the Committee and in his absence, the Vice \r\nChairperson shall preside over the meetings. \r\n(3) The Members at clauses (d) and (e) of sub -section (1) shall hold office \r\nfor a period of three years and shall be eligible for another term of three years or part \r\n \r\n \r\nthereof as deemed appropriate, however they shall serve during the pleasure of the \r\nChief Minister. \r\n10. Affiliation of Specialized Medical Institutions .- (1) Every Specialized \r\nMedical Institution, for the purpose of medical education, shall affiliate with a medical \r\nuniversity for the purposes of syllabus, curriculum, examination or for any other \r\npurpose as may be required. \r\n(2) A Specialized Medical Institution shall be headed by a Dean, and shall \r\nconsist of chairpersons and medical faculties of various departments of the \r\nSpecialized Medical Institutions. \r\n(3) A Specialized Medical Institution shall have an academic council, \r\nheaded by the Dean and consisting of such num ber of members as may be \r\nprescribed, to set principles and standards for teaching, research, training, student \r\nadmissions, and curriculum development and to ensure and inculcate highest ethical \r\nstandards. \r\n11. Management Committee. - (1) Every hospital formi ng part of a Specialized \r\nMedical Institution, shall have a management committee headed by the Dean and \r\nconsisting of the following members: \r\n(a) Hospital Director; \r\n(b) Medical Director; \r\n(c) Nursing Director; \r\n(d) Finance Director; and \r\n(e) two persons nominated by the Board on the recommendation of \r\nthe Dean. \r\n(2) The Management Committee shall: \r\n(a) review and recommend annual operating and development \r\nbudget for approval of the Board; \r\n(b) coordinate to ensure compliance of the relevant standards; \r\n(c) submit a quarterly report on management, healthcare services \r\nand financial management to the Board; \r\n(d) recommend to the Board any addition of a department, facility or \r\npost at the Specialized Medical Institution; and \r\n(e) perform all such functions as may be assigned by the Board or \r\nprescribed by the regulations. \r\n12. Dean.- (1) The Dean shall be appointed by the Board for a period of four \r\nyears, who shall be eligible for re -appointment, on such terms and conditions and \r\nhaving such qualifications and experience as may be prescribed. \r\n(2) The Dean shall be the Chief Executive Officer of a Specialized Medical \r\nInstitution. \r\n(3) The Dean shall act to ensure that the Specialized Medical Institution is: \r\n(a) functioning in accordance with the Act, rules and regulations; \r\n \r\n \r\n(b) complying with minimum standards regarding provision of health \r\nservices; \r\n(c) maintaining medical records of all patients; \r\n(d) maintaining all other records; and \r\n(e) working in accordance with the policy directions of the Board. \r\n(4) The Dean shall, on his appointment, simultaneously receive a faculty \r\nappointment at a level commensurate with his qualifications and the prescribed \r\nInstitutional requirements for the faculty post. \r\n(5) The chairpersons of various departments in the Specialized Medical \r\nInstitution shall be appointed by the Board, on such terms and conditions and in such \r\nmanner as may be prescribed and the chairperson may be removed by the Board on \r\nthe recommendations of the Dean. \r\n(6) The Dean may be removed from the office by the Board, before the \r\nexpiration of the period of four years at any time on such grounds as may be \r\nprescribed including failure to achieve targets set by the Board. \r\n(7) In the performance of his functions, the Dean shall be responsible to \r\nthe Board and the chairpersons of the departments shall be responsible to the Dean \r\nand the Academic Council. \r\n(8) The Board, in absence of the Dean, shall appoint from amongst the \r\nchairpersons a Vice-Dean to perform the functions of the Dean. \r\n(9) The Dean may delegate any of his powers to any other officer or \r\ncommittee of the Specialized Medical Institution. \r\n(10) The Dean shall be the principal accounting officer, responsible and \r\naccountable for maintaining financial discipline and transparency. \r\n13. Hospital Director.- (1) The Board shall appoint a Hospital Director for every \r\nhospital forming part of the Specialized Medical Institution for a period of four years. \r\n(2) The Hospital Director shall be eligible fo r re -appointment, on such \r\nterms and conditions as the Board may determine: \r\nProvided that no Member of the Board shall be appointed as Hospital \r\nDirector. \r\n(3) The Hospital Director shall possess a recognized Master's degree in \r\nhospital management or health services management or business management or \r\npublic health or public administration or any other relevant management \r\nqualifications and having experience of management in an organization or institution \r\nas may be prescribed: \r\nProvided that a person, who pos sesses a recognized medical degree may \r\nalso apply for the post of Hospital Director with the condition that he shall have an \r\nadditional management degree and experience provided in this sub-section and shall \r\nhave no right to do private practice. \r\n(4) The Ho spital Director may be removed from the office by the Board, \r\nbefore the expiration of the period of four years on such grounds as may be \r\nprescribed. \r\n \r\n \r\n(5) In performance of his functions, the Hospital Director shall be \r\nresponsible to the Board through the Dean. \r\n(6) The Hospital Director shall not have any conflict of interest with his \r\nposition as Hospital Director. \r\n14. Functions of the Hospital Director. - The Hospital Director shall be \r\nresponsible for: \r\n(a) non-clinical functions of the hospital; \r\n(b) preparation of annual budget, and business plan for presentation to the \r\nDean; \r\n(c) maintenance of building and engineering services; \r\n(d) maintenance and development of all ancillary services, including but \r\nnot limited to pharmacy, nursing, materials management, huma n \r\nresources, clerical, communication, janitorial and security services; \r\n(e) procurement; and \r\n(f) implementation and execution of the orders of the Board and Academic \r\nCouncil and to achieve the targets set by the Board. \r\n15. Medical Director.- (1) The Board shall appoint a Medical Director for every \r\nhospital forming part of the Specialized Medical Institution for a period of four years \r\nwho shall be eligible for re -appointment, on such terms and conditions as the Board \r\nmay determine: \r\nProvided that no Member of the Board shall be appointed as Medical Director. \r\n(2) The Medical Director shall, on his appointment, simultaneously receive \r\na faculty appointment at a level commensurate with his qualifications and the \r\nprescribed institutional requirements for the faculty post. \r\n(3) The Medical Director shall possess a recognized medical degree with \r\nmanagement or administrative experience of working in management positions in an \r\ninstitution or organization as may be prescribed by the Board. \r\n(4) The Medical Director may be removed from the office by the Board, \r\nbefore the expiration of the period of four years, on such grounds as may be \r\nprescribed by the Board. \r\n(5) All heads of clinical department shall report to the Medical Director. \r\n(6) In performance of his functions, the Medical Director shall be \r\nresponsible to the Board through the Dean. \r\n(7) The Medical Director shall not have any conflict of interest with his \r\nposition as Medical Director. \r\n16. Functions of Medical Director. - The Medical Director shall be responsible \r\nfor all clinical functions of the hospital, including: \r\n(a) ensuring clinical excellence in all functions of the hospital; \r\n(b) ensuring timely and appropriate management of patients; \r\n(c) ensuring the best services for all patients; \r\n \r\n \r\n(d) undertaking clinical governance for quality control; \r\n(e) assessing and auditing existing clinical programs and developing new \r\nclinical programs; \r\n(f) developing annual clinical budget; \r\n(g) medical equipment requests for presentation to the Medical \r\nSuperintendent and Management Committee; and \r\n(h) ensuring compliance with minimum standards pertaining to healthcare \r\nservices and maintenance of medical records. \r\n17. Nursing Director.- (1) The Board shall appoint a Nursing Director for every \r\nhospital forming part of the Specialized Medical Institutions for a period of four years, \r\nand shall be eligible for re -appointment, on such terms and conditions as the Board \r\nmay determine: \r\nProvided that no Member shall be appointed as Nursing Director. \r\n(2) The Nursing Director shall possess such qualification and experience \r\nas may be prescribed by the Board. \r\n(3) The Nursing Director may be removed from the office by the Board \r\nbefore the expiration of a period of four years, on such grounds as may be \r\nprescribed by the Board. \r\n(4) In performance of h is functions, Nursing Director shall be responsible \r\nto the Board through the Dean. \r\n(5) The Nursing Director shall not have any conflict of interest with his \r\nposition as Nursing Director. \r\n(6) The Nursing Director shall be responsible for all nursing functio ns, \r\nincluding training of nurses, ensuring adequate nursing staff for all clinical \r\nrequirements, maintaining the highest nursing standards and performing regular \r\naudits of nursing functions. \r\n(7) The Nursing Director shall perform such other functions as ma y be \r\nprescribed by the Board. \r\n18. Finance Director.- (1) The Finance Director shall be appointed by the Board, \r\nin the manner as may be prescribed, for a period of three years, and shall be eligible \r\nfor re-appointment. \r\n(2) The Finance Director shall have su ch minimum qualification and \r\nexperience as may be prescribed. \r\n(3) In performance of his functions, the Finance Director shall be \r\nresponsible to the Board through the Dean. \r\n(4) The Finance Director shall be responsible for all functions relating to \r\nfinance, including but not limited to: \r\n(a) compliance with financial rules and propriety; \r\n(b) pre-audit functions; \r\n(c) ensure value for money; and \r\n \r\n \r\n(d) liaise on and coordinate with external audit. \r\n19. Employees of the Specialized Medical Institution. - (1) The Board may, on \r\nthe recommendations of the Special Selection Board, appoint such number of \r\nemployees for services and operations of the Specialized Medical Institution. \r\n(2) The employees so appointed shall not be considered as the employees \r\nof the Government. \r\n(3) The Board may determine the terms and conditions of the service of \r\nvarious categories of the employees. \r\n(4) The employees of the Specialized Medical Institution shall be liable to \r\nsuch disciplinary action in such manner as may be prescribed. \r\n(5) The Board may post doctors and nurses on deputation basis in the \r\nSpecialized Medical Institution with the prior approval of the Government. \r\n(6) Where the Dean, Hospital Director, Medical Director or Finance \r\nDirector are Government servants, they shall receive such additional remuneration \r\nas may be determined by the Board and approved by the Government. \r\n(7) Only consultants and heads of clinical disciplines shall be allowed \r\ninstitutional-based private practice as may be prescribed by the rules. \r\n20. Special Selec tion Board. - (1) The Government shall, on the \r\nrecommendations of the Board, constitute a Special Selection Board which shall \r\nrecommend appointment of persons in the Specialized Medical Institution. \r\n(2) The Special Selection Board shall consist of such numb er of members \r\nas may be determined by the Government. \r\n(3) The members determined under sub -section (2) shall include \r\nrepresentatives of: \r\n(a) Secretary to the Government, Specialized Healthcare and \r\nMedical Education Department; \r\n(b) Secretary to the Governme nt, Services and General \r\nAdministration Department (Regulations Wing); and \r\n(c) one subject specialist to be nominated by Secretary to the \r\nGovernment, Specialized Healthcare and Medical Education \r\nDepartment. \r\n21. Retention of fee. - (1) Notwithstanding anything contained in any law for the \r\ntime being in force or the rules, a Specialized Medical Institution shall retain receipts \r\nfrom various fees levied by the Government or Board to meet its recurring and \r\ndevelopment expenditure. \r\n(2) The amount realized f rom receipts of a Specialized Medical Institution \r\nmay not be deducted from the annual grant of the Specialized Medical Institution \r\nprovided by the Government and such amount realized from receipts shall be utilized \r\nas may be specified by the Board. \r\n22. Duties of healthcare service providers. - Every healthcare service provider \r\nin a Specialized Medical Institution shall: \r\n \r\n \r\n(a) comply with the minimum standards; \r\n(b) maintain medical records and other records in the prescribed manner; \r\nand \r\n(c) provide same level of care to private and non-private patients. \r\n23. Fund.- (1) There shall be a Fund to be known as the Specialized Medical \r\nInstitution Fund, which shall vest in the Specialized Medical Institution and shall be \r\nmanaged and operated by the Board. \r\n(2) The Fund shall consist of: \r\n(a) grants from the Government as a single line budget; \r\n(b) receipts and user charges as specified by the Board in \r\nconsultation with the Government from time to time in such \r\nmanner as may be prescribed; \r\n(c) voluntary contributions or donations; \r\n(d) income from investments and deposits; \r\n(e) loans raised subject to approval of the Government or aid \r\nobtained by the Specialized Medical Institution; \r\n(f) fees, royalties on publications of the Specialized Medical \r\nInstitution and other charges for services rendered by the \r\nSpecialized Medical Institution; \r\n(g) grants made by any local or international agency; \r\n(h) any other money received by the Specialized Medical Institution \r\nfrom any source; and \r\n(i) grants from any provincial g overnment or by the Federal \r\nGovernment. \r\n(3) The Fund shall be kept in such custody and shall be utilized and \r\nregulated in such manner as may be prescribed. \r\n(4) The Fund account shall be maintained at such Scheduled Bank or \r\nTreasury as may be prescribed. \r\n(5) The Board may authorize two officers or employees of the Specialized \r\nMedical Institution, one of them shall be Finance Director, to sign cheques, drafts \r\nand other orders for the payment of money from an account of the Specialized \r\nMedical Institution as it deems appropriate. \r\n(6) The Government may provide adequate funds for construction, \r\nestablishing and operation of various facilities of the Specialized Medical Institution \r\nto perform its functions effectively. \r\n(7) The Board may, in so far as its money is not required for immediate \r\nexpenses, invest the surplus money in such manner as provided under section 36 of \r\nthe Punjab Public Financial Management Act 2022 (XXXVII of 2022) and rules made \r\nthereunder. \r\n(8) The Board shall not invest any money from the Fund in listed securities \r\nor any derivatives thereof, whether listed or not. \r\n \r\n \r\n24. Budget, audit and accounts. - (1) The operational and development budget \r\nof a Specialized Medical Institution shall be approved by the Board and its accounts \r\nshall be maintained and audited in such manner as may be prescribed by the \r\nregulations. \r\n(2) The accounts of the Specialized Medical Institution shall be audited \r\nevery year by the Auditor General of Pakistan. \r\n(3) The Board shall appoint an internal auditor of the Specialized Medical \r\nInstitution for pre-audit of expenditures. \r\n(4) The Dean shall submit annual statement of accounts to the Board and \r\nthe Board may pass such order thereupon as it deems necessary. \r\n(5) At the closure of each financial year, the Specialized Medical Institu tion \r\nshall prepare, in the prescribed manner, statements of account for that financial year, \r\nwhich shall include a balance sheet and an income and expenditure account. \r\n(6) The expenditure for which provision has not been made in the \r\napproved budget shall not be incurred without prior approval from the Board. \r\n(7) The Chief Minister may order to carry out special audit other than \r\nroutine audit through third party as and when deemed necessary. \r\n25. Power to make rules. - The Government may, by notification in t he official \r\nGazette, make rules for carrying out the purposes of the Act. \r\n26. Power to frame regulations. - Subject to the provisions of the Act and rules \r\nmade thereunder, the Board may frame regulations, not inconsistent with the \r\nprovisions of the Act, and the applicable standards for carrying out the purposes of \r\nthe Act. \r\n27. Removal of Difficulties. - Notwithstanding anything contained in the \r\nprovisions of the Act, the Government may take such measures as deemed fit for the \r\npurpose of removing difficulties and ensuring effective and efficient healthcare \r\nmanagement.", "passage_offset_convention": "zero-based Unicode code points and UTF8 bytes; end exclusive", "passages": [ { "passage_id": "law:punjab-code-0bc3462f8e0e45a5:sha256:5fef183029bddf6af3f2ddfb3d6cf619c9eac858c926e066baab57d5865ec8d0:chars-0-1773:c86c0f9e0931a51acf34fd072edaa724890303d62f6e975e38cfd21d95db3c20", "character_start": 0, "character_end": 1773, "utf8_byte_start": 0, "utf8_byte_end": 1773, "passage_sha256": "c86c0f9e0931a51acf34fd072edaa724890303d62f6e975e38cfd21d95db3c20", "reader_fragment": "p-0-1773-c86c0f9e0931a51a" }, { "passage_id": "law:punjab-code-0bc3462f8e0e45a5:sha256:5fef183029bddf6af3f2ddfb3d6cf619c9eac858c926e066baab57d5865ec8d0:chars-1773-3523:db3bdc01bd8d3ef8da4babedeffdeed92b386e88977c789aeadd6691cc8e0e15", 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