State unlikely to enforce NMC order on MBBS fees for four­ and­ a­ half­ years

State unlikely to enforce NMC order on MBBS fees for four­ and­ a­ half­ years

 The Hindu (Kochi) A.S. Jay­anth KOZHIKODE 4 May 2026

The recent dir­ect­ive of the National Med­ical Com­mis­sion (NMC) to med­ical col­leges in the coun­try to levy fees from MBBS stu­dents only for four­ and­ a­half years is unlikely to be imple­men­ted in Ker­ala now.

In the order issued on April 7, the NMC had said that col­lect­ing fee from stu­dents for the entire dur­a­tion of the course for five years or five­ and­ a­ half years would not be per­mit­ted. The MBBS course com­prises four­ and­ a­ half years of aca­demic study, fol­lowed by one year of com­puls­ory rotat­ing intern­ship. In gov­ern­ment med­ical col­leges in Ker­ala, the annual fee is over ₹30,000, while in self­f in­an­cing col­leges it is around ₹8 lakh and above for the gen­eral cat­egory and ₹21 lakh and above for the NRI cat­egory.

This fee is determ­ined and revised by a fee reg­u­lat­ory com­mit­tee. It is now headed by retired High Court judge K.K. Dineshan. However, the incum­bent LDF gov­ern­ment is unlikely to take a decision on the dir­ect­ive now, as its ten­ure is set to end soon.

Mr. Dineshan told The Hindu recently that the fee reg­u­lat­ory com­mit­tee was bound by judg­ments of the Supreme Court of India and the Ker­ala High Court, as well as laws passed by the Ker­ala Legis­lat­ive Assembly. 

He said the fee fixed by the com­mit­tee for a batch would remain in force for the entire five year course. He poin­ted out that the High Court had, in 2022, cla­ri­fied that the NMC’s office memor­andum stip­u­lat­ing gov­ern­ment fees for 50% of seats in self­ fin­an­cing med­ical col­leges need not be imple­men­ted in Ker­ala.

Mean­while, the Ker­ala Uni­versity of Health Sci­ences (KUHS) is of the view that the dir­ect­ive should be imple­men­ted in the State.

KUHS Vice­ Chan­cel­lor Mohanan Kun­num­mal told The Hindu that other States such as Tamil Nadu and Karnataka were already plan­ning to enforce it. “However, we are not in a pos­i­tion to express our views on this because KUHS is not part of the fee reg­u­lat­ory com­mit­tee… There is a con­ten­tion that the entire course fee is divided over five years, so it can con­tinue that way. 

But such an argu­ment has not been explained any­where offi­cially,” he added. ‘The NMC said that col­lect­ing fees for five years or more was not con­sist­ent with the pre­scribed aca­demic struc­ture of the MBBS pro­gramme and could res­ult in charges for peri­ods that do not con­sti­tute aca­demic teach­ing. 

“Any instance of non­com­pli­ance shall be viewed ser­i­ously and appro­pri­ate action ini­ti­ated by the Com­mis­sion, as per the extant stat­utory and reg­u­lat­ory pro­vi­sions,” the order added.