{ "schema_version": "qanun-law-text/1", "id": "punjab-code-d512b079537692d8", "title": "PUNJAB PRIMARY AND SECONDARY HEALTHCARE SERVICES ACT 2025", "source_collection": "Punjab", "content_kind": "stored_law_text", "content_extent": null, "source_url": "https://punjabcode.punjab.gov.pk/en/show_article/VmZTZFZoBjZWMQ--", "version": null, "source_snapshot": "2026-08-06T16:59:20Z", "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": "c1884b45734874e0c708ee3ec95cb7eecb207ee0f437445596c33878fb16b4cf", "source_sha256": "c1884b45734874e0c708ee3ec95cb7eecb207ee0f437445596c33878fb16b4cf", "text_version_id": "law:punjab-code-d512b079537692d8:sha256:c1884b45734874e0c708ee3ec95cb7eecb207ee0f437445596c33878fb16b4cf", "quality_flags": [], "encoding": "UTF-8", "text": "PUNJAB PRIMARY AND SECONDARY HEALTHCARE \r\nSERVICES ACT 2025 \r\n(LX of 2025) \r\nCONTENTS \r\n1. Short title, extent and commencement. \r\n2. Definitions. \r\n3. Healthcare Facilities. \r\n4. Maryam Nawaz Community Health Services. \r\n5. Maryam Nawaz Health Clinics. \r\n6. Outreach Mobile Healthcare Units. \r\n7. Maryam Nawaz Hospitals. \r\n8. Tehsil Headquarter Hospitals. \r\n9. District Headquarter Hospitals. \r\n10. Monitoring, Reporting & Evaluation. \r\n11. Health Data Protection and Confidentiality. \r\n12. Digital Referral System. \r\n13. Responsibilities of the Department. \r\n14. Director General, officers, etc. \r\n15. Recruitment of Human Resource. \r\n16. Liaison with other departments, etc. \r\n17. Public Servants. \r\n18. Indemnity. \r\n19. Delegation of Powers. \r\n20. Power to make rules. \r\n21. Act to override. \r\n22. Removal of difficulties. \r\n23. Saving.\r\nTEXT \r\n1\r\nPUNJAB PRIMARY AND SECONDARY HEALTHCARE SERVICES \r\nACT 2025 \r\n(LX of 2025) \r\n [01 July 2025] \r\nAn \r\nAct \r\nto provide the mechanism for provision of healthcare services, as well as operation \r\nand management of primary and secondary healthcare facilities \r\nIt is necessary and expedient to provide for a framework for provision of primary and \r\nsecondary healthcare services through a complete structure of outreach community \r\nservices, primary essential package of healthcare services and hospital based \r\nsecondary healthcare to ensure universal access to quality healthcare, digitization of \r\npublic healthcare records and building a digital referral mechanism within the \r\nprovince of Punjab. \r\nIt is hereby enacted by Provincial Assembly of the Punjab as follows: \r\n1. Short title, extent and commencement . – (1) This Act may be c ited as the \r\nPunjab Primary and Secondary Healthcare Services Act 2025. \r\n(2) It extends to the whole of Punjab. \r\n(3) It shall come into force at once. \r\n2. Definitions.– In the Act: \r\n(a) “Act” means the Primary and Secondary Healthcare Services Act, \r\n2025; \r\n(b) “agreement” means a written contract stipulating terms and conditions \r\nbetween service provider and the Department for provision of \r\nCommunity Health Inspectors or management of health facilities \r\nbetween the health manager and the Department; \r\n(c) “Community Health Inspector” means an accredited healthcare \r\nprofessional designated under this Act; \r\n(d) “Department” means the Health and Population Department, \r\nGovernment of the Punjab; \r\n(e) “Director General” means the Direct or General Health Services, \r\nPunjab; \r\n(f) “Directorate” means the Directorate of Monitoring and Evaluation as \r\nestablished under section 10 of the Act; \r\n(g) “electronic medical records” means digital records of a person’s \r\nmedical history, diagnostics, clinical assessm ents and healthcare \r\n \r\n1\r\nThis Act was passed by Provincial Assembly of the Punjab on 26 June 2025; and was assented to by Governor of the Punjab \r\non 01 July 2025; and was published in the Punjab Gazette (Extraordinary), dated: 01 July 2025, pp. 05-10. \r\n \r\n \r\nservices received through Community Health Inspector, outreach \r\nmobile healthcare units or at any primary or secondary healthcare \r\nfacility; \r\n(h) “Government” means the Government of the Punjab; \r\n(i) “healthcare facility” means premises provided un der section 3 of the \r\nAct; \r\n(j) “health manager” means medical practitioner for outsourced service \r\ndelivery or specialist consultants provided under section s 5 and 7 of \r\nthe Act; \r\n(k) “healthcare services” means and includes all services relating to \r\nprimary and second ary healthcare as notified by the Department from \r\ntime to time for improving quality of healthcare service delivery; \r\n(l) “health data” means the data described in section 11 of the Act; \r\n(m) “medical practitioner” means an MBBS doctor regist ered with the \r\nPakistan Medical and Dental Council and has a valid registration \r\nthroughout his engagement as service provider; \r\n(n) “patient” means any individual who visits a healthcare facility and \r\nreceives a healthcare service; \r\n(o) “prescribed” means as prescribed by the rules framed under the Act; \r\n(p) “service provider” means medical practitioner, specialist consultants, \r\nhealth manager, outsourced agency providing Community Health \r\nInspectors, or any person who has been hired for any purpose under \r\nthe Act; \r\n(q) “specialized hospital” means a hospital which is directly under the \r\ncontrol of the Specialized Healthcare and Medical Education \r\nDepartment, Government of the Punjab; and \r\n(r) “Union Council” shall have the same meaning as provided in the \r\nPunjab Local Government Act, 2022 (Act XXXIII of 2022). \r\n3. Healthcare Facilities.– Following premises shall serve as healthcare facilities \r\nunder the provisions of the Act: \r\n(a) Maryam Nawaz Health Clinics; \r\n(b) Maryam Nawaz Hospitals; \r\n(c) Tehsil Headquarter Hospitals; and \r\n(d) District Headquarter Hospitals. \r\n4. Maryam N awaz Com munity Health Services .– (1) Maryam Nawaz \r\nCommunity Health Services Programme shall provide basic healthcare to people \r\nfrom birth to end of life at home and in communities thro ugh Community Health \r\nInspectors. \r\n(2) The Government shall determine terms and co nditions, fee for services \r\nand responsibilities of the Community Health Inspectors. \r\n \r\n \r\n(3) In addition to the general responsibilities, the Department may from \r\ntime to time notify designated area, description of services and additional tasks, \r\nrelated and ancillary to healthcare services, for Community Health Inspectors. \r\n(4) The Department shall hire Community Health Inspectors either directly \r\nor through third party service providers. \r\nProvided that in case Community Health Inspectors are hired through a third-\r\nparty service provider, all modalities shall be finalized through a written Agreement. \r\n5. Maryam Nawaz Health Clinics .– (1) The Department shall make \r\narrangements for provision of essential package of healthcare services through \r\nestablishing one or more fully equipped Maryam Nawaz Health Clinics in each Union \r\nCouncil depending on population of the Union Council by either upgrading the \r\nexisting healthcare facilities or by constructing new healthcare facilities wherever \r\nrequired, to be determined by the Government. \r\n(2) Maryam Nawaz Health Clinic shall be made operational on \r\nperformance-based financing, through complete outsourcing to a medical practitioner \r\nas a health manager, for operational management, including clinical services, \r\nprovision of allied health professionals and free medicines to patients. \r\n(3) The Government shall determine eligibility criteria and devise a \r\nmechanism for hiring of health manager through an open competitive process for the \r\npurpose. \r\n(4) Terms and conditions of Agreement of outsourcing shall be determined \r\nby the Government containing, inter alia, the following: \r\n(a) Scope of services; \r\n(b) Responsibilities of parties; \r\n(c) Financial terms; \r\n(d) Duration of contract; \r\n(e) Monitoring and evaluation mechanisms; \r\n(f) Termination and dispute resolution clauses; and \r\n(g) Any other special policy instructions issued by the Department \r\nfrom time to time. \r\n(5) Subsequent to digitization of health data of catchment population for \r\neach health clinic; the Government may decide to make the said clinic operational \r\nthrough outsourcing of services to a health manager on capitation payment basis. \r\n(6) The Government shall determine the designated catchment area of \r\nhealth clinic, the rate of capitation payment per person and the duration of \r\nAgreement for the purpose. \r\n6. Outreach Mobile Healthcare Units .– The Department shall make \r\narrangements for provision of healthcare services in uncovered urban areas or hard \r\nto reach areas through mobile healthcare service units. \r\n7. Maryam Nawaz Hospitals .– (1) The Department shall make arrangements \r\nfor provision of healthcare services including but not limited to pediatrics, dental, \r\n \r\n \r\ngynecological and surgical procedures, and related diagnostic services across the \r\nprovince either through establishment of at least one fully equipped Maryam Nawaz \r\nHospital to address the needs of population constituting catchment area of maximum \r\nfive Maryam Nawaz Health Clinics by upgrading the existing facilities or constructing \r\nsuch new hospitals wherever required, to be determined by the Government. \r\n(2) Maryam Nawaz Hospitals shall be made operational through complete \r\noutsourcing on performance -based financing to health manager, comprising the \r\nprescribed specialist consultants, for operational management, including clinical \r\nservices, provision of allied health professionals and free medicines to patients. \r\n(3) The Government shall determine eligibility criteria, qualification and the \r\nmechanism for hiring specialist consultants through an open competitive process for \r\noutsourcing purpose. \r\n(4) Terms and conditions of Agreement for outsourcing are to be \r\ndetermined by the Government containing, inter alia, the following: \r\n(a) Scope of services; \r\n(b) Responsibilities of parties; \r\n(c) Financial terms; \r\n(d) Duration of contract; \r\n(e) Monitoring and evaluation mechanisms; \r\n(f) Termination and dispute resolution clauses; and \r\n(g) Any other special policy instructions issued by the Department \r\nfrom time to time. \r\n8. Tehsil Headquarter Hospitals .– (1) The Department shall make \r\narrangements for provision of wide range of secondary level specialist healthcare \r\nservices and related diagnostic services at tehsil level, except district headquarters, \r\nacross the province by establishing at least one fully equipped Tehsil Headquarter \r\nHospital, to be determined by the Government. \r\n(2) The Departmen t shall determine and notify the range of specialist \r\nservices, outpatient, inpatient and emergency services to be provided by Tehsil \r\nHeadquarter Hospitals. \r\n(3) The Government may determine operational mechanism for Tehsil \r\nHeadquarter Hospitals through admi nistration by the Department or complete \r\noutsourcing to eligible persons for management, provision of administrative and \r\nclinical services, provision of allied health professionals, support staff and free \r\nmedicines to patients through open competitive proc ess on performance -based \r\nfinancing. \r\n9. District Headquarter Hospitals .– (1) The Department shall make \r\narrangements for provision of complete package of secondary level specialist \r\nhealthcare services and related diagnostic services at district headquarters ac ross \r\nthe province, except where specialized hospitals are set up, by establishing at least \r\none fully equipped District Headquarter Hospital, to be determined by the \r\nGovernment. \r\n \r\n \r\n(2) The Department shall determine and notify complete range of services \r\nrelating to each specialty, outpatient, inpatient and emergency services to be \r\nprovided by District Headquarter Hospitals. \r\n(3) The Government may determine operational mechanism for District \r\nHeadquarter Hospitals through administration by the Department or compl ete \r\noutsourcing of management, provision of administrative and clinical services, \r\nprovision of allied health professionals, support staff and free medicines to eligible \r\npersons through open competitive process on performance-based financing. \r\n10. Monitoring, Reporting & Evaluation.– (1) The Department shall establish a \r\nDirectorate comprising of a Command & Control Center for monitoring, reporting, \r\nevaluating and regulating service delivery at all primary and secondary levels. \r\n(2) The directorate may employ an i ntegrated approach of collection, \r\nverification and analysis of real-time health data from the healthcare facilities through \r\nelectronic medical records, including, inter alia, provision of community services, \r\npreventive services, patient visits, general ph ysician and specialist medical \r\npractitioner consultations, diagnostic services, surgical and other curative \r\nprocedures, emergency care, maternal and child healthcare services, immunizations, \r\nfamily planning, closed circuit television footage, routine and s urprise field visits \r\nthrough designated monitoring assistants. \r\n(3) The Department may appoint and post such number of officers for this \r\ndirectorate as deemed necessary keeping in view its requirements. \r\n(4) The Department, for the purpose of defining the ma ndate of this \r\ndirectorate, shall notify specific responsibilities from time to time. \r\n11. Health Data Protection and Confidentiality.– (1) Subject to the provisions of \r\nthis Act, all data or information acquired or collected by the Department, either \r\nthrough physical or electronic methods shall make part of the “health data”, which \r\nshall include: \r\n(a) person’s demographic and medical information and any other \r\nancillary data acquired during the course of service delivery; \r\n(b) any information acquired through electronic medical records; \r\n(c) data regarding stock details of bio -medical or other equipment, \r\nmachinery, medicines, consumables, vaccines and any other \r\nmoveable or immovable assets pertaining to the Community \r\nHealth Inspector or healthcare facilities; \r\n(d) Any data or infor mation to determine service delivery \r\nperformance of Community Health Inspectors, Health Managers, \r\nHealthcare Facilities or any service provider; \r\n(e) Any data relating to key performance indicators; \r\n(f) Any data relating to communicable and non -communicable \r\ndiseases; \r\n(g) Any data acquired in the course of performance of contractual \r\nobligations under the Agreement; \r\n \r\n \r\n(h) Any data which is acquired directly or indirectly under the \r\nprovisions of the Act, rules framed h ereunder and the \r\nAgreement; and \r\n(i) Any other form of data as ma y be prescribed in the rules or as \r\nthe Department may notify from time to time. \r\nProvided that all the rights relating to the Health Data are reserved by the \r\nDepartment, and the same may be used and shared for analysis to improve the \r\nquality of health service delivery by the Department. \r\nProvided further that the Health Data may be provided upon the directions of \r\na Court or a forum strictly in accordance with the prevalent law. \r\n(2) The protection and confidentiality of the Health Data shall be ensured. \r\nAny person who has acquired access to the Health Data, voluntarily or involuntarily, \r\nshall keep the same confidential and may not use or disseminate it without the \r\nspecific approval of the Department. \r\n12. Digital Referral System .– (1) The Department shall make te chnical \r\narrangements and capacity building support for establishing Digital Referral System \r\nwith two -way referral from primary level facilities to secondary level facilities or \r\nspecialized hospitals and vice versa with the aim to optimize patient satisfact ion and \r\nutilization of time, human and financial resources. \r\n (2) The Department shall determine and notify standard operating \r\nprocedures for implementation of digital referral system at all healthcare facilities and \r\noutreach mobile healthcare units. \r\n13. Responsibilities of the Department .– The Department shall be responsible \r\nfor: \r\n(a) allocation and provision of necessary development or non-development \r\nresources and support from local or international agencies for provision \r\nof healthcare services at all levels; \r\n(b) ensuring provision of necessary infrastructure, equipment, machinery, \r\nvaccines, medicines and any other ancillary items as may be required; \r\n(c) monitoring provision of healthcare service delivery in community and at \r\nHealth Facilities and take necessary correct ive measures, wherever \r\nrequired; \r\n(d) carrying out routine third -party evaluations to analyze service delivery \r\nperformance in community and at Healthcare Facilities; \r\n(e) provision of platforms for necessary capacity building trainings and \r\nworkshops for healthcare service providers from time to time on its own \r\nor through third parties, non -government organizations and other \r\nentities for improving the standard of services; \r\n(f) making arrangement for dissemination of information through print and \r\nsocial media regarding healthcare services when necessary; and \r\n(g) safeguarding the implementation of the provisions of this Act, rules \r\nframed hereunder, and the terms of the Agreement. \r\n \r\n \r\n14. Director General, officers, etc .– (1) The Director General, on behalf of the \r\nDepartment and subject to such terms and conditions as may be determined by the \r\nDepartment, shall be the designated authority to ensure functioning and \r\nimplementation of the provisions of this Act. \r\n (2) The Department may appoint such number of officers, advisors, \r\nexperts, cons ultants or other employees as per its requirements for smooth \r\nimplementation of the Act. \r\n15. Recruitment of Human Resource .– (1) All recruitment of clinical or non -\r\nclinical staff including inter alia administrative staff, specialist consultants, medical \r\npractitioners, pharmacists, allied health professionals and support staff shall be on \r\nspecial pay packages for a fixed term. \r\n(2) The Government shall determine terms and conditions, special pay \r\npackages and job description of all positions mentioned in sub-section (1). \r\n(3) The Government shall constitute Special Selection Committees for all \r\nrecruitment mentioned in sub-section (1). \r\n(4) Human resource hired under this Act through any mode shall n either \r\nbe entitled to regularization of services regardless of the duration of their work \r\nperformed for the purposes of this Act nor shall claim status of Civil Servant under \r\nthe Punjab Civil Servants Act 1974. \r\n16. Liaison with other departments, etc.– (1) For the purposes of uninterrupted \r\nhealthcare service delivery under the provisions of the Act, the Department may \r\nestablish liaison with any other department, authority or body of the Government or \r\nany third party. \r\n (2) In that eventuality, such department, autho rity or body of the \r\nGovernment, third party, non -government organization or a foreign agency shall be \r\nbound to provide assistance to the best of its capacity for furthering the purpose of \r\nthe Act and the rules framed hereunder. \r\n17. Public Servants .– The Direc tor General, an officer, expert, advisor, \r\nconsultant, clinical or non-clinical staff member, health manager or community health \r\ninspector working directly under the Act, shall be deemed to be a public servant in \r\nterms of Section 21 of the Pakistan Penal Code, 1860 (XLV of 1860). \r\n18. Indemnity.– No suit, prosecution or other legal proceedings shall lie, against \r\nthe Government, Department, Director General or any other person providing \r\nhealthcare service, for anything which is, in good faith, done or intended to be done \r\nunder the Act or the rules. \r\n19. Delegation of Powers .– (1) The Government or the Department may, by \r\nnotification, delegate any of the powers under this Act to an officer subordinate or \r\nany other local authority or entity in such circumstances and on such conditions as it \r\nmay determine. \r\n (2) The Department may constitute committees for the purpose of \r\ncompleting the assignments and regulating the affairs under the provisions of the \r\nAct, and the rules framed hereunder. \r\n \r\n \r\n20. Power to make rules .– (1) Government may, by notification in the official \r\nGazette, make rules to carry out the purposes of the Act. \r\n (2) Without prejudice to the generality of provisions of sub -section (1), the \r\nrules may provide for, inter alia, any of the following: \r\n(a) Functioning, maintenance, and performance of healthcare \r\nfacilities; \r\n(b) collection, monitoring, reporting, evaluation, analysis and \r\nprotection of data; \r\n(c) provision of designated health services at the healthcare \r\nfacilities; \r\n(d) any other matter in furtherance of the provision of the Act. \r\n21. Act to override.– Notwithstanding anything contained in any other law for the \r\ntime being, the provisions of this Act shall have an overriding effect. \r\n22. Removal of difficulties .– If any difficulty arises in giving effect to the \r\nprovisions of the Act , the Government may, by an order, not inconsistent with the \r\nprovisions of the Act, remove the difficulty. \r\n23. Saving.– (1) All actions already taken by the Department to the extent that \r\nthey are not inconsistent with the objectives and provisions of the Act, shall be \r\ndeemed to have been validly done. \r\n (2) The Department may, to the extent of any inconsistency, make \r\nrequisite changes for bringing the existing framework in consonance with the \r\nprovisions of the Act.", "passage_offset_convention": "zero-based Unicode code points and UTF8 bytes; end exclusive", "passages": [ { "passage_id": "law:punjab-code-d512b079537692d8:sha256:c1884b45734874e0c708ee3ec95cb7eecb207ee0f437445596c33878fb16b4cf:chars-0-1777:ef499ace361d30b12dce7b97ba5a81a927b03662a6d540b539e12b06120c9c4d", "character_start": 0, "character_end": 1777, "utf8_byte_start": 0, "utf8_byte_end": 1779, "passage_sha256": "ef499ace361d30b12dce7b97ba5a81a927b03662a6d540b539e12b06120c9c4d", "reader_fragment": "p-0-1777-ef499ace361d30b1" }, { "passage_id": 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