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Vidhi Himmat Katariya And Others v. State Of Gujarat And Others

Supreme Court Of India
Oct 4, 2019
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Factual and Procedural Background

The petitioners, all students with locomotor disabilities, filed writ petitions under Article 32 of the Constitution seeking directions to be treated as eligible under the Persons with Disability (PwD) reservation category for admission to the MBBS course for the academic year 2019–20. They asserted eligibility for PwD reservation and admission to MBBS seats reserved for “persons with benchmark disability” under the Right of Persons with Disabilities Act, 2016.

Section 32 of the 2016 Act mandates not less than 5% reservation in government educational institutions. The Medical Council of India (MCI) provided for 5% seats for candidates with benchmark disability in accordance with the 2016 Act. The NEET-UG 2019 admission cycle began in late October 2018, with online applications from 1–30 November 2018, admit cards on 15 April 2019, examination on 5 May 2019, and results on 5 June 2019.

In the interim, by Notification dated 4 February 2019, the Board of Governors in supersession of MCI amended the Graduate Medical Education Regulations, 1997 by adding Appendix “H”. Appendix “H” stipulated, among other things, that a minimum of 40% disability (benchmark disability) is required to claim reservation, and that for physical/locomotor disability “both hands intact, with intact sensation, sufficient strength and range of motion” are essential to be considered eligible for the medical course.

After NEET-UG 2019 results, the petitioners appeared before the Medical Board and were found ineligible for the MBBS course under the PwD quota as per Appendix “H”. The Medical Appellate Board upheld this conclusion. Subsequently, the AIIMS, New Delhi Medical Board also opined against the petitioners’ eligibility. The petitioners then approached the Supreme Court seeking to set aside these determinations and to secure admission under the PwD category.

Legal Issues Presented

  1. Whether the amended eligibility standards introduced by Notification dated 4 February 2019 (Appendix “H”) applied to MBBS admissions for AY 2019–20, given that the admission process commenced in November 2018.
  2. Whether the petitioners, as candidates with locomotor disabilities, satisfied the essential eligibility criteria under Appendix “H” for admission to the MBBS course under the PwD quota.
  3. Whether the authorities’ application of Appendix “H” and reliance on expert medical boards (Medical Board, Medical Appellate Board, and AIIMS, New Delhi) in declaring the petitioners ineligible was arbitrary or required judicial interference.

Arguments of the Parties

Petitioners’ Arguments

  • The applicable regulations should be those in force when the selection process commenced (1 November 2018), i.e., the 2017 MCI Regulations, not the 4 February 2019 amendment adding Appendix “H”.
  • The “rules of the game” cannot be changed midway; reliance was placed on Janhit Abhiyan v. Union of India (2019) 10 SCC 27, where EWS reservations were held inapplicable midway through the medical PG 2019 selection process.
  • Even under the 2019 Regulations, they are eligible because their disabilities fall between 40% and 80%, with 40% being the minimum benchmark for reservation; the State allegedly misapplied the “both hands intact, with intact sensation, sufficient strength and range of motion” requirement to non-suit them arbitrarily.
  • On individual functionality, several petitioners are dominant on the unaffected side, have good muscle power, can perform activities of daily living (some with modifications), and possess adequate range of motion and pinch/grip in the affected limb; these factors were allegedly not properly considered.
  • They sought directions to be considered for MBBS admission under the PwD quota as per merit.

State of Gujarat’s Arguments

  • The petitioners did not meet the eligibility criteria under the 4 February 2019 Notification (Appendix “H”).
  • Multiple expert bodies—the Medical Board, the Medical Appellate Board, and subsequently the AIIMS, New Delhi Medical Board—opined that the petitioners were not eligible for MBBS under the PwD quota.
  • Given these expert determinations, denial of admission was justified.

Board of Governors in supersession of MCI’s Arguments

  • The 4 February 2019 amendments were based on recommendations of an independent Expert Committee headed by the Director, AIIMS, New Delhi, to ensure students admitted can acquire necessary medical skills.
  • Regulation 4(3) was substituted to reserve 5% seats for “persons with benchmark disability” per the 2016 Act, adopting specified disabilities via Appendix “H”.
  • Appendix “H” provides that persons with locomotor disability of less than 40% may pursue MBBS but are not eligible for PwD reservation. Eligibility for admission under PwD must be assessed under Appendix “H”.
  • The relevant date to assess eligibility is when candidates actually seek admission and are examined by the Medical Board (post-NEET results), by which time the 4 February 2019 Notification was in force.

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
Janhit Abhiyan v. Union of India, (2019) 10 SCC 27 Selection rules should not be changed midway; EWS reservations were held inapplicable midway through an ongoing medical PG 2019 process. The Court distinguished this case. It held the relevant eligibility date is when candidates seek admission; since the 4 February 2019 Notification predated the admission stage, application of Appendix “H” to AY 2019–20 was not a mid-process change.

Court's Reasoning and Analysis

  • Applicability of the 4 February 2019 Notification:
    • The Court rejected the contention that regulations applicable on 1 November 2018 (when the brochure issued and applications opened) should govern eligibility.
    • It held the “relevant essential eligibility criteria” must be considered at the time candidates actually seek admission under the PwD quota, which occurs after NEET results and includes examination by a Medical Board.
    • The Expert Committee’s disability guidelines were approved on 5 June 2018; for AY 2018–19 they remained at draft stage and admissions were made under unamended regulations pursuant to this Court’s directions. For AY 2019–20, however, the 4 February 2019 Notification had been issued before admissions. Therefore, applying Appendix “H” did not amount to changing the rules midway.
  • Eligibility under Appendix “H”:
    • Appendix “H” requires, inter alia, that “both hands intact, with intact sensation, sufficient strength and range of motion” are essential to be considered eligible for the medical course.
    • It also records that locomotor disability of less than 40% allows pursuing MBBS but does not qualify for PwD reservation.
    • The Medical Board, the Medical Appellate Board, and the AIIMS, New Delhi Medical Board concluded that the petitioners did not satisfy the essential criteria for PwD eligibility for MBBS admission under Appendix “H”.
  • Deference to expert assessment:
    • The Court noted that multiple expert bodies applied the Appendix “H” criteria and opined against the petitioners.
    • In the absence of mala fides, the Court declined to act as an appellate authority over such expert medical determinations, and found no basis to hold the application of Appendix “H” arbitrary.

Holding and Implications

HOLDING: DISMISSED

The Supreme Court dismissed all writ petitions, holding that: (i) the 4 February 2019 Notification (Appendix “H”) governed AY 2019–20 admissions because eligibility is assessed at the time of seeking admission; and (ii) based on consistent opinions of the Medical Board, Medical Appellate Board, and AIIMS, New Delhi, the petitioners did not satisfy the essential eligibility criteria for MBBS admission under the PwD quota.

Implications: The petitioners are not entitled to admission under the PwD reservation for AY 2019–20, and no costs were awarded. The decision affirms that, for PwD admissions to MBBS, eligibility is determined at the admission stage under Appendix “H”, and courts will defer to medical expert bodies’ determinations absent mala fides. No broader doctrinal expansion beyond these case-specific applications was indicated.

Show all summary ...

M.R. Shah, J.— In all the writ petitions, the respective petitioners — students have prayed for an appropriate writ, order or direction directing the respondents, State Government to treat the petitioners eligible for reservation under Persons with Disability (PwD category) and grant them admission in MBBS course for the academic year 2019-20. It is the case on behalf of the respective petitioners that all of them are eligible to pursue MBBS course and they shall be granted admission under the PwD category as they are suffering from “locomotor disability”. All of them are seeking admission to MBBS course in the reserved category under PwD quota.

2. That Section 32 of the Right of Persons with Disabilities Act, 2016 (hereinafter referred to as the “the 2016 Act”), which came into force with effect from 19-4-2017 provides for reservation of not less than 5% in government educational institutions. Accordingly, the Medical Council of India notified the Regulations for providing 5% seats to candidates with benchmark disability in accordance with the provisions of the 2016 Act. It is the case on behalf of the petitioners that process of admission for MBBS undergraduate course for the academic year 2019-2020 commenced in the last week of October, 2018 and the eligible candidates were to submit applications online between 1-11-2018 to 30-11-2018. That the admit cards were released on 15-4-2019 and the examination was held on 5-5-2019, followed by declaration of result on 5-6-2019. All the respective petitioners appeared in the NEET (UG) 2019 and were declared successful. However, it is required to be noted that in the meantime the Board of Governors in supersession of the Medical Council of India amended the Medical Council of India Regulations of Graduate Medical Education, 1997, by Notification dated 4-2-2019, whereby Appendix “H” came to be added to the erstwhile 2017 Regulations — providing for minimum degree of disability to be 40% (benchmark disability) in order to be eligible for availing reservation for persons with specified disability. Appendix “H” further provided that in case of “physical disability or locomotor disability”, the applicant may be assessed for “Both hands intact, with intact sensation, sufficient strength and range of motion” as essential to be considered eligible for medical course”. As observed hereinabove, thereafter the result of NEET (UG) 2019 came to be published in the month of June, 2019. As per the requirement, all the respective petitioners appeared before the Medical Board. However, all the respective petitioners were not fulfilling the requisite criteria as per Appendix “H” to Notification dated 4-2-2019 in the list published by the State Government on 29-6-2019. The petitioners were declared non-eligible for medical course. That thereafter the petitioners appeared before the Medical Appellate Board and the Medical Appellate Board also declared the petitioners not eligible for medical course. Hence, the respective petitioners have preferred the present petitions under Article 32 of the Constitution of India for the aforestated reliefs.

3. The learned advocate appearing on behalf of the respective petitioners have vehemently submitted that the case of the petitioners for admission in the MBBS course under the reserved category of PwD for the academic year 2019-20 shall not be governed by Notification dated 4-2-2019, and that they shall be governed by the 2017 MCI Regulations. It is submitted that the relevant date to ascertain eligibility of the petitioners for medical course is to be determined on the date when the process of selection commenced i.e. on 1-11-2018. It is submitted that on the relevant date 2017 MCI Regulations, dated 22-1-2018, were applicable and therefore eligibility, as such, for medical course is to be determined in terms of the provisions of the said Regulations. It is submitted that Appendix “H” to the notification amending the 2017 Regulations, which came into force with effect from 4-2-2019, therefore shall not be applicable.

3.1. It is further submitted by the learned counsel appearing on behalf of the petitioners that rules of game cannot be changed midway, as per the settled proposition of law. In support of his above submission, the learned counsel for the petitioners has heavily relied upon the recent decision of this Court dated 30-5-2019 in Janhit Abhiyan v. Union of India (2019) 10 SCC 27. It is submitted that in the said decision, this Court has held that the EWS reservations could not be made applicable midway after the selection process for medical PG of 2019, which commenced in the month of November, 2018, whereas notification reserving EWS quota came in February/March 2019.

3.2. It is further submitted by the learned counsel appearing on behalf of the petitioners that even otherwise the petitioners are eligible under the 2019 Regulations also as they fulfil the required percentage disability between 40-80%. It is submitted that the minimum percentage disability to be eligible for availing reservation under PwD is 40%. It is submitted that “PwD not eligible for medical course” is stated as per the 2019 Regulations to be beyond and in excess of 80%, which is not the case in hand. It is submitted that the relevant provisions of 2019 Regulations — “Both hands intact, with intact sensation, sufficient strength and range of motion are essential to be considered” has been applied by the State Government to non-suit the petitioners for medical course in an arbitrary manner and without application of mind. It is submitted that while rejecting the petitioners to be not eligible for medical course, the State Government has not at all considered the fact that PwD is bound to have certain problems including the parameters mentioned in Appendix “H” [Both hands intact, with intact sensation, sufficient strength and range of motion are essential to be considered] with sub-clause (f) of Clause 4(1) of the 2019 Regulations.

3.3. It is further submitted by the learned counsel appearing on behalf of the petitioners that while applying the parameters mentioned in Appendix “H” with sub-clause (f) of Clause 4(1) of 2019 Regulations [Both hands intact, with intact sensation, sufficient strength and range of motion are essential to be considered], the State Government did not consider the facts that, Petitioner1 has good muscle power, does gripping and activities of daily living with modifications; Petitioner 3 is right side dominant and his right hand is perfectly fine; the range of motion in left hand is not nil, rather restricted, does activities of daily living with little difficulty and the affected (left) hand has good muscle power as well; petitioner in Writ Petition (C) No. 900 of 2019 is right side dominant and his right hand is perfectly fine; affected body part is left hand only. Left hand has good pinch with modification and does daily activities with upper limb right side; petitioner in Writ Petition (C) No. 1026 of 2019 is left side dominant and his left hand is perfectly fine; affected body part is right hand only.

3.4. Making the above submissions, it is prayed to allow the present petitions and direct the respondents to consider the case of the petitioners for admission in MBBS course in the PwD quota as per merit.

4. The present petitions are vehemently opposed by Shri Aniruddha P. Mayee, learned Advocate appearing for the State of Gujarat. It is vehemently submitted by the learned counsel appearing on behalf of the State that the respective petitioners are not fulfilling the criteria as per Notification dated 4-2-2019. It is submitted that the case of the respective petitioners was considered not only by the Medical Board but by the Medical Appellate Board also and experts have specifically opined that the respective petitioners are not eligible for admission in MBBS course under PwD quota. It is submitted that even subsequently also the petitioners were examined by the Medical Board of AIIMS, New Delhi and even the Medical Board of AIIMS has also opined against the petitioners and has opined that the respective petitioners are not eligible for admission in medical course under PwD quota. It is submitted that when the experts have opined that the respective petitioners are not eligible for admission in medical course as they do not fulfil the requisite eligibility criteria as per 2019 Regulations, they are rightly denied admission in medical course under PwD quota.

5. The present petitions are also vehemently opposed by the learned counsel appearing on behalf of the Medical Council of India. A detailed reply affidavit has been filed on behalf of Board of Governors in supersession of the Medical Council of India. It is submitted that MCI while dealing with the issue of persons with disability had formed an independent Expert Committee comprising of eminent doctors in various specialities. It is submitted that the amendments made in the Graduate Medical Regulations, 1997 vide MCI Notification dated 4-2-2019 are in accordance with the report/recommendations furnished by an independent expert committee headed by the Director, AIIMS, New Delhi.

5.1. It is further submitted by the learned counsel appearing on behalf of Board of Governors that a medical student pursuing MBBS course after becoming a doctor will be treating humans and it is very essential that a student is able to acquire the necessary skill and expertise during the MBBS course. It is submitted that Regulation 4(3) has been substituted in the Graduate Medical Education Regulations, 1997 vide MCI Notification dated 4-2-2019, whereby it is provided that 5% of the seats shall be reserved for “persons with benchmark disability” as specified under the 2016 Act. It is submitted that the substituted Regulation 4(3) further provides that the specified disability given in the Schedule to 2016 Act is adopted and incorporated in Appendix “H” to the Regulations. It is submitted that it further provides that the eligibility of the persons with specified disability to pursue course in medicine has to be dealt with in accordance with Appendix “H” — Guidelines regarding admission of students with “specified disabilities” under the 2016 Act with respect to admission in MBBS course.

5.2. It is further submitted by the learned counsel appearing on behalf of the Board of Governors that Appendix “H” in the MCI Notification dated 4-2-2019, inter alia, provides that the persons with locomotor disability of less than 40% are eligible to pursue MBBS course but are not eligible to be granted the benefit of reservation under PwD quota. It is submitted therefore that when the respective petitioners do not fulfil the admission criteria as per Appendix “H” to Notification dated 4-2-2019 and even all the expert bodies — Medical Board, Medical Appellate Board and even the Medical Board of AIIMS, New Delhi have opined that the respective petitioners are not eligible for admission in MBBS course, the respective petitioners are rightly denied admission in the MBBS course under PwD quota.

5.3. Now so far as the submission on behalf of the petitioners that Notification dated 4-2-2019 shall not be applicable and the erstwhile Regulations shall be applicable and the relevant date should be the date on which the process for admission has started i.e. in the month of November, 2018, it is vehemently submitted that the relevant date for eligibility criteria would be the date on which the petitioners were to get admission. It is submitted therefore that the date on which the petitioners applied for admission in medical course under PwD quota and appeared before the Medical Board, that should be the relevant date and the notification came into force on 4-2-2019, the same shall be applicable.

5.4. Making the above submissions, it is prayed to dismiss the present writ petitions.

6. We have heard the learned counsel for the respective parties at length.

6.1. The respective petitioners are suffering from locomotor disability and they are seeking admission in the MBBS course under PwD category. As per Notification dated 4-2-2019 and Appendix “H” — Guidelines regarding admission of students with “Specified Disabilities” under the 2016 Act with respect to admission in MBBS course, a candidate suffering from locomotor disability of less than 40% shall be eligible to pursue MBBS course but not eligible to be granted the benefit of reservation under PwD quota. It further provides that “both hands intact, with intact sensation, sufficient strength and range of motion” are essential to be considered eligible for medical course. As per the opinion of the Medical Board, Medical Appellate Board and even the Medical Board of AIIMS, New Delhi, the respective petitioners are not eligible for admission in MBBS course under PwD quota as they do not fulfil the essential criteria to be fulfilled as per Appendix “H”. Therefore, as such, the respective petitioners are not fulfilling the essential eligibility criteria provided as per Appendix “H” and therefore they are not eligible for admission in the medical course under PwD quota.

7. It is mainly contended on behalf of the petitioners and it is submitted by the learned counsel appearing on behalf of the petitioners that the NEET UG 2019 brochure was released on 1-11-2018 and the notification amending the 1997 Regulations whereby Appendix “H” is added to the erstwhile 2017 Regulations has been issued on 4-2-2019, the case of the petitioners are required to be considered as per the provisions prior to 4-2-2019 and more particularly prevailing as on 1-11-2018. The aforesaid has no substance. The relevant essential eligibility criteria is required to be considered when the petitioners were to get admission in the MBBS course under PwD quota. It is required to be noted and so stated in the reply affidavit filed on behalf of the MCI that the Expert Committee submitted the report — “Guidelines for admission of persons with Specified Disabilities”, which was placed before the Executive Committee of the Council in its meeting held on 5-6-2018 wherein after due discussion and deliberations it was decided to approve the same. It was also decided that the said Expert Committee Report should be communicated to the Ministry of Health & Family Welfare in view of the schedule for counselling for admission to MBBS course for the academic year 2018-19. However, for admission for the academic year 2018-19, it was at the stage of a draft notification and the Graduate Medical Education Regulations, 1997 were not amended in light of the recommendations of the Expert Committee constituted by the MCI which has issued the Disability Guidelines, this Court directed to give admission as per the unamended Graduate Medical Education Regulations, 1997. However subsequently and before the admission for the academic year 2019-20 are given, Notification dated 4-2-2019 has been published and the Graduate Medical Education Regulations, 1997 have been amended, as above. Therefore, in the facts and circumstances of the case, it cannot be said that “rules of the game are changed midway”, as sought to be contended on behalf of the petitioners. As observed hereinabove, the essential eligibility criteria as per Appendix “H” is required to be considered at the time when the candidates were seeking admission in the medical course under PwD category. It is also required to be noted that even the candidates seeking admission in PwD quota are required to appear before the Medical Board concerned at the time of actually seeking admission and after NEET result is declared. Therefore, the relevant date for considering the essential eligibility criteria as per Appendix “H” shall be the date on which the candidates — petitioners sought admission in the MBBS course under PwD quota. Much prior thereto, Notification dated 4-2-2019 has been issued and published and therefore the respective petitioners shall be governed by Notification dated 4-2-2019.

8. Now so far as the submission on behalf of the petitioners that while denying admission to the petitioners the State Government and/or authorities have not considered the relevant parameters and have not considered that the respective petitioners are able to perform well is concerned, it is required to be noted that in the present case all the expert bodies including the Medical Board, Medical Appellate Board and even the Medical Board of AIIMS, New Delhi consisting of the experts have opined against the petitioners and their cases are considered in light of the relevant essential eligibility criteria as mentioned in Appendix “H” — “Both hands intact, with intact sensation, sufficient strength and range of motion”. Therefore, when the experts in the field have opined against the petitioners, the Court would not be justified in sitting over as an appellate authority against the opinion formed by the experts — in the present case, the Medical Board, Medical Appellate Board and the Medical Board of AIIMS, New Delhi, more particularly when there are no allegations of mala fides.

9. In view of the above and for the reasons stated above, the present petitioners are not entitled to the reliefs as prayed. Hence, all the writ petitions filed under Article 32 of the Constitution of India deserve to be dismissed and are accordingly dismissed. However, in the facts and circumstances of the case, there shall be no order as to costs.